Active NPIIndividual provider

Dr. Callan Donovan, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Lynn, Massachusetts

NPI Number1609498948
Practice location
77 Broad St, Lynn, MA 01902-5003
Fax
—
Last updated
July 20, 2022

Callan Donovan is a Dentist, Orthodontics and Dentofacial Orthopedics based in Lynn, MA. Callan Donovan practices in Lynn, MA and has the professional credentials of DMD. The NPI Number for Callan Donovan is 1609498948 and holds a License No. DN1859330 (MA). The current practice location address for Callan Donovan is 77 Broad St, Lynn, MA 01902-5003 and can be reached out via phone at 781-490-9518.

Provider Profile Details

NPI Number
1609498948
Provider Name
Callan Donovan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
77 Broad St, Lynn, MA 01902-5003
Phone Number
781-490-9518
Sole Proprietor
No
Provider Enumeration Date
May 9, 2020
Last Update Date
July 20, 2022
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Broad St
Lynn, MA 01902-5003
City
Lynn
Zip
01902-5003
Phone Number
781-490-9518
Lynn, MA 01902Get directions →

Provider Business Mailing Address Details

Address
501 Congress St Apt 720
Boston, MA 02210-2922
City
Boston
State
MA
Zip
02210-2922
Phone Number
207-712-5151

License Information

License Number (1)
DN1859330
License State (1)
MA
Taxonomy (1)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Callan Donovan, DMD?

The NPI number of Dr. Callan Donovan, DMD is 1609498948. It was assigned on May 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Callan Donovan, DMD?

Dr. Callan Donovan, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number DN1859330.

Where does Dr. Callan Donovan, DMD practice?

The practice location is 77 Broad St, Lynn, MA 01902-5003. The office can be reached at 781-490-9518 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609498948 directly on the NPPES registry website.

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